| Wisemind Wellness, LLC | |
|
20 E Thomas Rd Ste 2200 Phoenix AZ 85012-3133 | |
| (541) 990-2613 | |
| Not Available |
| Full Name | Wisemind Wellness, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 E Thomas Rd Ste 2200, Phoenix, Arizona |
| Authorized Official Name and Position | Nathan Dingeldein (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 5419902613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisemind Wellness, LLC P.o. Box 33784 Phoenix AZ 85067-3784 Ph: (480) 359-5816 | Wisemind Wellness, LLC 20 E Thomas Rd Ste 2200 Phoenix AZ 85012-3133 Ph: (541) 990-2613 |
| NPI Number | 1265025050 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265025050 | NPI | - | NPPES |
| 632705 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
Amra Stafford, PsyD, PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 |
Pro Iom LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 |
Liberty Care LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 |
White Tiger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 |
Eden Recovery Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 |